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Vietnamese American in nursing home: Cultural Barriers  1. Perception: Different perceptions about nursing home depending on levels of acculturation and health literacy 2. Financial factor: Nearly half of the elderly Vietnamese living in OC lives in poverty. OCHNA (2010). A look at health in Orange County’s Vietnamese community. Retrieved from

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Vietnamese American in nursing home: Cultural Barriers  3. Limited knowledge of general health information and health care system. 4. Language: Majority of Vietnamese American seniors are not proficient in English. OCHNA (2010). A look at health in Orange County’s Vietnamese community. Retrieved from

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Vietnamese American Seniors in nursing home: Cultural Barriers  4. Advanced directive and end of life care.  5. Traditional relationship among children in health care for parents: Oldest son is usually considered as the ultimate decision maker for their parents.

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Vietnamese American Seniors in nursing home: Cultural Barriers 6.Complementary and alternative medicine in nursing home: not uncommon in Vietnamese American seniors in nursing home. 7.Family support: Strong family support in majority of Vietnamese American seniors in nursing home.

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Vietnamese American Seniors in nursing home: Cultural Barriers 8.Traditional activities: all Vietnamese American seniors prefer to keep their Vietnamese traditional activities. 9.Religious and spiritual issues: sometimes, Vietnamese American seniors and family have some special needs due to their religions and spiritual beliefs.